The Normally Functioning Prosthetic Valve

Letters and Corrections1 July 1982The Normally Functioning Prosthetic ValveWILLIAM C. REEVES, M.D.WILLIAM C. REEVES, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-97-1-144_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: I enjoyed the recent review article on auscultation of the normally functioning prosthetic valve by Smith and colleagues (1). Several points, however, need clarification.The authors mention that ball valves in the mitral area normally have an apical early to mid-systolic murmur at the lower left sternal border. They note in their Figure 2 that this is a grade 2 to 3/6 systolic ejection murmur. The references quoted to support this statement do not address this question. But in a later reference (2), an ejection mid-systolic murmur at the apex is said to occur in most persons...References1. SMITHRAIZADAABRAMS NVJ. Auscultation of the normally functioning prosthetic valve. Ann Intern Med. 1982;95:594-98. LinkGoogle Scholar2. NAJMISEGAL MB. Auscultatory and phonocardiography findings in patients with prosthetic ball valves. Am J Cardiol. 1965;16:794-9. CrossrefMedlineGoogle Scholar3. BJORKHOLMGRENOLINOVENFORS VACC. Clinical and haemodynamic results of aortic valve replacement with the Bjork-Shiley tilting disc valve prosthesis. Scand J Thorac Cardiovasc Surg. 1971;5:177-91. CrossrefMedlineGoogle Scholar4. WILTRAKISRAHIMTOOLAHARLANDEMOTS MSBH. Diastolic rumbles with porcine heterograft prosthesis in the atrioventricular position. Normal or abnormal prosthesis? Chest. 1978;74:411-3. MedlineGoogle Scholar1. BUSCHPECHACEKGARCIAHALL ULER. Acoustic changes in normally functioning mitral valve prostheses: echophonocardiographic observations. Cardiovasc Dis. 1978;5:107-12. MedlineGoogle Scholar2. CRAIGEHUTCHINSUTTON EPR. Impaired function of cloth-covered Starr-Edwards mitral valve prosthesis. Detection by photocardiography. Circulation. 1970;41:141-8. CrossrefMedlineGoogle Scholar3. BJÖRKHOLMGRENOLINOVENFORS VACC. Clinical and haemodynamic results of aortic valve replacement with the Björk-Shiley tilting disc valve prosthesis. Scand J Thorac Cardiovasc Surg. 1971;5:177-91. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 July 1982Volume 97, Issue 1Page: 144-145KeywordsAuscultationSystolic ejection murmur Issue Published: 1 July 1982 PDF downloadLoading ...